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    <title>出院记录</title>
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<body>
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<!-- 出院记录-开始 -->
<div id="ZYBL_CYJL" class="BLPage" bl_name="出院记录" style="display:block">
    <div align="center">
        <span id="cyjlL_YYMC" dbkey="医院名称" style="font-size:22pt">淮阴区丁集中心卫生院</span>
    </div>
    <div align="center">
        <span id="cyjlL_JLMC" style="font-size:20pt">出院记录</span>
    </div>
    <div><input onclick="" type="button"  value="显示预览"/></div>
    <div style=" margin-top:1em;">
        <span class="sp_label" style="width:3em; text-align:right">姓名:</span>
      <input id="cyjlF_BRXM1" dbkey="姓名" readonly class="ip_field" style=" width:5em;"/>
        <span class="sp_label" style="width:3em; text-align:right">科别:</span><input id="cyjlF_DQKS" dbkey="科别" readonly class="ip_field" style="width:9em"/>
        <span class="sp_label" style="width:3em; text-align:right">病区:</span><input id="cyjlF_DQBQ" dbkey="病区" readonly class="ip_field" style="width:3.5em"/>
        <span class="sp_label" style="width:3em; text-align:right">床号:</span><input id="cyjlF_CWH" dbkey="床号" readonly class="ip_field" style="width:2.5em"/>
        <span class="sp_label" style="width:3.5em; text-align:right">住院号:</span><input id="cyjlF_BLH" dbkey="住院号" readonly class="ip_field" style="width:5em"/>
    </div>
    <hr/>
  <div align="center">
    	<span class="sp_label">姓名</span><input id="cyjlF_BRXM2" dbkey="姓名" class="ip_field" style="width:5em" /><span>　</span>
        <span class="sp_label">性别</span><input id="cyjlF_BRXB" dbkey="性别" class="ip_field" style="width:2em" /><span>　</span>
        <span class="sp_label">年龄</span><input id="cyjlF_BRNL" dbkey="年龄" class="ip_field" style="width:3em" /><span>　</span>
        <span class="sp_label">婚姻</span><input id="cyjlF_HYZK" dbkey="婚姻" class="ip_field" style="width:2em" /><span>　</span>
        <span class="sp_label">职业</span><input id="cyjlF_ZY" dbkey="职业" class="ip_field" style="width:4em" /><span>　</span>
        <span class="sp_label">就诊号</span><input id="cyjlF_JZH" dbkey="住院号" class="ip_field" style="width:5em" />
    </div>
    <hr />
    <table width="100%" style="border-collapse:collapse">
    	<tr>
        	<td width="11%" align="right" valign="middle">入院诊断</td>
            <td width="58%"><textarea id="cyjlF_RYZD" dbkey="入院诊断" class="ta_field" rows="1" style="width:100%"></textarea></td>
            <td width="11%" align="right" valign="middle">入院日期</td>
          <td width="20%" valign="middle"><input id="cyjlF_RYRQ" dbkey="入院日期" type="datetime" dateFmt="yyyy-MM-dd HH:mm" class="ip_field" style="width:8em" /></td>
        </tr>
        <tr>
        	<td align="right" valign="middle">手术名称</td>
            <td><textarea id="cyjlF_SSMC" dbkey="手术名称" class="ta_field" rows="1" style="width:100%"></textarea></td>
            <td align="right" valign="middle">手术日期</td>
          <td valign="middle"><input id="cyjlF_SSRQ" dbkey="手术日期" type="datetime" dateFmt="yyyy-MM-dd HH:mm" class="ip_field"  style="width:8em" /></td>
        </tr>
        <tr>
        	<td align="right" valign="middle">出院诊断</td>
            <td><textarea id="cyjlF_CYZD" dbkey="出院诊断" class="ta_field" rows="1" style="width:100%"></textarea></td>
            <td align="right" valign="middle">出院日期</td>
          <td valign="middle"><input id="cyjlF_CYRQ" dbkey="出院日期" type="datetime" dateFmt="yyyy-MM-dd HH:mm" class="ip_field" style="width:8em" /></td>
        </tr>
    </table>
    <hr />
    <div>入院时情况(简要病史、阳性体征、有关实验室及器械检查结果)：</div>
    <div style="width:100%">
   	  <textarea id="cyjlF_RYSQK" class="ta_field" rows="1" dbkey="入院时情况" placeholder="入院时情况" style="width:100%"></textarea>
    </div>
    <div>住院经过：</div>
    <div style="width:100%">
    	<textarea id="cyjlF_ZYJG" class="ta_field" rows="1" dbkey="住院经过" placeholder="住院经过" style="width:100%"></textarea>
    </div>
    <div>
    	<span>出院情况(</span><input id="cyjlF_CYQK" class="ip_field" type="text" style="width:5em" /><span>)　　　　</span>
    	<span>伤口愈合:</span><input id="cyjlF_SKYH" class="ip_field" type="text" style="width:5em" />
    </div>
    <div style="width:100%">
    	<textarea id="cyjlF_CYQK" class="ta_field" rows="1" dbkey="出院情况" placeholder="出院情况" style="width:100%"></textarea>
    </div>
    <div>出院医嘱：</div>
  <div style="width:100%">
    	<textarea id="cyjlF_CYYZ" class="ta_field" rows="1" dbkey="出院医嘱" placeholder="出院医嘱" style="width:100%"></textarea>
    </div>
    <table width="100%" style="border-collapse:collapse">
    	<tr>
        	<td width="50%" rowspan="4">&nbsp;</td>
            <td width="50%">
            <div style="position:relative; width:100%">
            	<textarea id="cyjlF_XGPH" class="ta_field" dbkey="X光片号" rows="1" placeholder="X光片号" style="width:100%; text-indent:4.5em"></textarea>
                <div class="abs_label">X光片号:</div>
            </div>            
            </td>
        </tr>
        <tr>
        	<td>
            <div style="position:relative; width:100%">
            	<textarea id="cyjlF_CTH" class="ta_field" dbkey="CT号" rows="1" placeholder="CT号" style="width:100%; text-indent:3em"></textarea>
                <div class="abs_label">CT号:</div>
            </div>  
            </td>
        </tr>
        <tr>
        	<td>
            <div style="position:relative; width:100%">
            	<textarea id="cyjlF_MRIH" class="ta_field" dbkey="MRI号" rows="1" placeholder="MRI号" style="width:100%; text-indent:3.5em"></textarea>
                <div class="abs_label">MRI号:</div>
            </div>  
            </td>
        </tr>
        <tr>
        	<td>
            <div style="position:relative; width:100%">
            	<textarea id="cyjlF_BLH" class="ta_field" dbkey="病理号" rows="1" placeholder="病理号" style="width:100%; text-indent:6em"></textarea>
                <div class="abs_label">病理检验号:</div>
            </div>  
            </td>
        </tr>
    </table>
    <hr />
    <div style="width:100%" align="center">
    	<input id="cyjlF_SJYS" class="ip_field" type="text" dbkey="上级医师" placeholder="上级医师" style="width:5em; text-align:center" /><span>　　　　　　　</span>
        <input id="cyjlF_YS" class="ip_field" type="text" dbkey="医师" placeholder="医师" style="width:5em; text-align:center" />
    </div>
</div>
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